"Mrs York's best chance of surviving her sepsis was for its immediate diagnosis and treatment," Mr Chandler said in his finding.

"This required a diagnostic laparoscopy to be carried out, preferably on 26 January but at the latest the next day.

"By electing not to take this course Mr Wilkinson denied Mrs York her best chance of avoiding death.

"Over the following days Mrs York's prospects progressively diminished. However, there remained a chance of survival perhaps persisting to as late as 29 January.

"Mr Wilkinson did not during this period carry out a diagnostic laparoscopy and the sepsis was therefore not detected and hence not treated.

"Mr Wilkinson's failure to undertake this procedure in this period therefore denied Mrs York any remaining chance of survival.

"The foregoing satisfies me to the standard required that Mr Wilkinson did contribute to the cause of Mrs York's death."

The coroner has found almost all of Dr Wilkinson's assertions that he had examined his patient just days before her death were blatantly incorrect.

Dr Wilkinson gave evidence he had gone to Accident and Emergency and carried out a clinical examination of Mrs York, including checking whether her abdomen was rigid or tense - indications of intra-abdominal sepsis.

Mr Chandler found Dr Wilkinson's assertions were almost all incorrect, and blatantly so, and he had not seen Mrs York that day.

Speaking outside the court, Joanne's mother Christine Caudwell says the family is now contemplating its next step.

"We've got some litigation claims happening, we're just going to the solicitors office now to go through the findings for the coroner and this is no closure for myself or my family," she said.

"It's a lifelong pain that we have to live with because we've lost Joanne."